摘要
目的探讨采用后外侧入路内固定治疗踝关节陈旧性骨折的临床疗效。方法笔者自2011-01—2012-12采用后外侧入路内固定治疗27例踝关节陈旧性骨折,比较分析术后不同时间患者的患肢踝关节功能恢复情况、与健侧比较踝关节的活动度情况、末次随访时踝关节功能评价情况。结果骨折均一期愈合,骨折愈合时间为（3.08±0.39）个月,未出现延迟愈合、不愈合等不良情况;所有患者获得12-14（13.4±0.6）个月随访。术后第6、9个月及末次随访患者的VAS疼痛评分、Hawkins评分与术后第3个月比较均得到改善,差异有统计学意义（P〈0.05）。患者踝关节的屈曲活动度、内外翻活动度在术后第3、6、9个月与健侧存在显著差别,差异有统计学意义（P〈0.05）,但在末次随访时与健侧比较差异均无统计学意义（P〉0.05）。末次随访时AOFAS评分：优19例,良7例,可1例,优良率96.3%;Barid-Jackson评分：优18例,良8例,可1例,优良率96.36%。结论后外侧入路治疗踝关节陈旧性骨折具有复位效果良好,术后患肢功能恢复效果好的特点。
Objective To study the therapeutic effect of posterolateral approach in the treatment of old fracture of ankle joint.Methods Between January 2011 and December 2012, 27 cases of old fracture of ankle joint were treated with posterolateral approach. The patients were followed up. The ankle joint function recovery was compared in different times after operation,and the ankle joint activities were compared with contralateral ankle, at the latest follow-up. Results All fractures were well healed. The fracture healing time was（3.08 ±0.39） months, there were no delayed union, nonunion and other adverse conditions. All patients were followed up for 12-14（13.4±0.6） months. VAS pain score, Hawkins score at 6 and 9 months after operation and at the last follow-up were improved compared with those at 3 months after operation, the difference was statistically significant（P〈0.05）. Flexion, inversion and eversion at 3, 6, 9 months after operation had significant differences with those of the contralateral ankle（P〈0.05）, but did not have significant differences at the last follow-up compared with the contralateral ankle（P〉0.05）. AOFAS score at the last follow-up： excellent in 19 cases, good in 7 cases, fair in 1 case, the excellent and good rate was 96.3%; Barid-Jackson rate： excellent in 18 cases, good in 8 cases, fair in 1 case, the excellent and good rate was 96.36%. Conclusion Internal fixation by the posterolateral approach for the treatment of old ankle joint fractures has good reduction with good postoperative function recovery.
出处
《中国骨与关节损伤杂志》
2016年第4期377-379,共3页
Chinese Journal of Bone and Joint Injury
关键词
踝关节
陈旧性骨折
后外侧入路
临床疗效
Ankle joint
Old fracture
Posterolateral approach
Clinical effect
